Organization
AMICUS PLACE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE D DAVIDSON JR. (CHIEF EXECUTIVE OFFICER)
(765) 425-7794
Entity
Organization
Contact information
Practice address
2427 CEDAR BND, ANDERSON, IN 46011-1084
(765) 425-7794
Mailing address
2427 CEDAR BND, ANDERSON, IN 46011-1084
(765) 425-7794
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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